HomeMy WebLinkAboutBuilding Permit Application Sep, 8. 2016 1 ;05PM No. 9847 P. 2
FFDevelopmentService5
LE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTED a
Permit Number: LOD
Building Permit Application SEP 0 0 2016
Building and Code Regulation Division PERMITfiNG
2300 Virginia Avenue,Fort Pierce FL 34982X ie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residen�lt.a�
PERMIT APPLICATION FOR: Mechanical
I rINIV !! +R•+ atl;�H roate;l.:•,ar..�••.,';yy'
li .,, r, •:r a_
1 ! ,� I�lil<7 II.+: ifs li�rt"�,t^i.,S� �,a,`ht`'.f;%�:��?'iifi.:'i>•.:!.'
P. y •fY,YE 1'F`il_�i�_J .in. ;Rii:°lti�il(Si7�i
Address: 7745 Greenbrier Circle Port St Lucie,FL
Legal Description: HVAC Equipment Change Out;Make-Carrier;AIH-FB4CNP060L00;CIU-25HCC56OA003
Property Tax ID##: 3522-700-0084-000-9 Lot No.79
Site Plan Name: Gerald Gallo Block No.
Project Name: Gerald Gallo
Setbacks Front Back: Right Side: Left Side:
71f4 h'+r'' r-.� �•--, r �" ' a — ' .� !1 =ttN�'t i[,y�r�I:f�w!-7iC
tirl 'li�%F!111'J.III:I.l{•i:;(i:lfjjl�;,
11:7.. U •1. tt." .! is � a 5�°��fd(t9�t'.,. F�,'— �'Irr—��.`,;J;�_�,
HVAC Equipment Change out; Make-Carrier; A/H - F840NP06OL00; CIU -25HCC56OA003
11L'ii+l 1'
!o
l +• _ - �},!I I Tin-�Wil7}`ia:;7�;��'tf;Gr
R r :�I��Ai' •�tf!Irr S•'41' iti�;a?�.!��'�:
° 1/ t ( -•rr•
trona war to a orme un er Is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers [ Generator Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 6265.00 Utilities:'
tilities Sewer[]Septic. Building Height:
I;( �r°'r ti irF rill.,itSiL�N. "';M";;1.
�� i rflAs+ai'.i�:�"gT;L`.a�''': ���r}'+:•�,,
ye: re+ a:.a:o •a::+'�.r,• .+ni+•..ila�. a r +I,. �i.Iro �.,, I'<.41'.':i".
•Name Gerald Gallo Name: Donald OBryon
Address:15 8hanti Place Company: Preferred Air Conditioning&Mechanical, Inc.
City: Tolland State:FL Address: 1643 Donna Road
Zip Code: 06084-2556 Fax: City: West Palm Beach State:FL
Phone No.860.874-4988 Zip Code: 33409 Fax- 561-478-0089
E-Mail: Phone No. 561-689-1093
Fill in fee simple Title Holder on next page(if different E-Mail: trioia@preferredacmach.com
from the Owner listed above) State or County License: CA01817665
if value of construction is$2500 or more,a RECORDED Notice of commencement is required,
Sep. 8. 2016 1 06P No, 9847 P. 3
"A' n > ss 1 t :'�:, ., r. I,:.,..,ll,;.l...l:: ::.•�� •"�,E;iLn.�+.ati;�^;�j jii.ijli.: N�rIFF••' lFtf§ _ {4'"�'E �.11 ,i.rc � t 1�•.t r`-+r' .,�: �:yyt lf'p`.p
r io1� f,�EL Ifi;.tar•lss,, j��i..td3.iJ`yy
,1 iIl.� ^(: F! ,t..1✓ t �� 1 I I 111 1'i�o�-.�.c`r1j;a.�c�..:.�..t. .7
S3EF' .Se111•.111 1. ..e1' �!�1h=
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City; State:
Zip: Phone: Zip: Phone:
FEE SiMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name; Name:
Address; _ Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
St.Lucie county makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following bullding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 2 by this B1n day of September Y0 _by
Oweltl Bryon A nt
".n.IdOlo
4Nfckn le gin ( me of rson ackno ledgin
ary Pub tc-State o Florida) (Signatur of Notary Public-State of Florida X OR Produced Identification ersonall nown x OR Produced Identification
ion Produced Type dentlflcation Produced
Commission No. F�1 ••"1 g�I�iAAD Commission No. FF211587 ,.`.. ;-y rg iso
h� my JffoN�FF 211537
Ilia* ' My C, MMl$sIoN r 2018 7 " aPIRES:JVY 1a,2019
_ derWdtelS
�'q e• Handed Thn1 KOMY Pa la n
Revised 07/15/20n�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
()ATE
COMPLETE
INITIALS